FACT SHEET
The State of Supermarket Pharmacy
Despite their essential role, supermarket pharmacies are struggling to stay in business due to the anticompetitive practices of pharmacy benefit managers (PBMs). Ninety-five percent of FMI members with pharmacies say PBM practices have a very negative impact on their pharmacy businesses. Congress must pass comprehensive PBM reform to improve health care access for patients, lower costs for consumers and government, and ensure supermarket pharmacies remain viable in communities across the nation.
Know The Stats
74% of pharmacy businesses are not very or not at all profitable.
74% of pharmacy businesses were less profitable in 2025 compared to the prior year, even though
91% of pharmacies filled more prescriptions over the past 12 months.
35% said all or some of their pharmacies are at risk of closing over the next two years.
70% have already closed pharmacies over the past two years.
Under-reimbursement Is a Huge Problem
Under-reimbursement is a huge problem, with brand name medications under cost accounting for 59% of pharmacies' prescription mix on average.
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